Can Hemorrhoids Cause Continuous Bleeding? Treatment Options Explained - Surgery

More Info

---

Hemorrhoids, particularly internal hemorrhoids, can indeed cause continuous bleeding, especially during bowel movements. The symptoms you describe—bright red blood in the toilet and on the stool, along with a sensation of discomfort in the anal area—are characteristic of hemorrhoids. However, the frequency and severity of your bleeding episodes, as well as the duration of the bleeding, suggest that there may be other underlying issues that need to be addressed.


Understanding Hemorrhoids
Hemorrhoids are swollen veins in the lower rectum or anus, and they can be classified as either internal or external. Internal hemorrhoids are located inside the rectum and are usually not visible or painful unless they prolapse (fall out of the anus). External hemorrhoids are located under the skin around the anus and can be painful, especially if a blood clot forms.

The bleeding associated with hemorrhoids typically occurs during bowel movements due to straining or passing hard stools. The blood is usually bright red, indicating that it is fresh and has not been digested. In your case, the fact that you experience significant bleeding that lasts for several days and occurs frequently suggests that your hemorrhoids may be more severe or that there could be other contributing factors, such as anal fissures or other gastrointestinal issues.


Treatment Options
1. Dietary Changes: Increasing fiber intake can help soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial.

2. Topical Treatments: Over-the-counter creams and ointments can provide relief from itching and discomfort. These often contain ingredients like hydrocortisone or witch hazel.

3. Sitz Baths: Soaking in warm water for 10-15 minutes several times a day can help reduce swelling and relieve discomfort.

4. Medications: If you are experiencing pain or discomfort, your doctor may recommend pain relievers or anti-inflammatory medications.

5. Minimally Invasive Procedures: If conservative treatments do not provide relief, procedures such as rubber band ligation, sclerotherapy, or infrared coagulation may be considered. These methods can help reduce the size of hemorrhoids.

6. Surgery: In severe cases, surgical options such as hemorrhoidectomy may be necessary to remove the hemorrhoids.


When to Seek Further Evaluation
Given the severity and frequency of your symptoms, it is essential to consult a healthcare professional for a thorough evaluation. A digital rectal exam or colonoscopy may be necessary to rule out other conditions, such as colorectal polyps or cancer, especially since you are experiencing significant bleeding.

Can Hemorrhoids Be Cured?
While hemorrhoids can often be managed effectively with lifestyle changes and medical treatments, they can recur. In some cases, surgical intervention may provide a more permanent solution. However, maintaining a high-fiber diet and healthy bowel habits can significantly reduce the likelihood of recurrence.


Conclusion
In summary, while your symptoms are consistent with hemorrhoids, the frequency and duration of your bleeding episodes warrant further investigation to rule out other potential causes. It is advisable to seek a second opinion or consult a specialist, such as a gastroenterologist or a colorectal surgeon, who can provide a comprehensive evaluation and tailored treatment plan. Remember, it is crucial to address these symptoms promptly to prevent complications and improve your quality of life.